Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $4,265.80 / $8,511.38	Facility		$104.71	$4,265.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $128.82 / $309.03	Professional		$52.48	$128.82	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $295.12	Professional		$51.29	$72.44	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $933.25 / $1,819.70	Facility		$724.44	$933.25	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $208.93	Professional		$53.70	$107.15	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $323.59	Professional		$109.65	$173.78	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $138.04 / $269.15	Facility		$58.88	$138.04	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $416.87	Professional		$125.89	$234.42	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $323.59	Professional		$112.20	$208.93	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $346.74	Professional		$114.82	$173.78	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $117.49 / $257.04	Professional		$51.29	$117.49	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $4,570.88	Facility		$1,096.48	$1,548.82	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $269.15	Professional		$70.79	$138.04	$269.15